Cases of vesico-vaginal fistula, treated by operation / by Geo. Hayward ; from the Boston medical and surgical journal.

  • George Hayward
Date:
1851
Catalogue details

Licence: Public Domain Mark

Credit: Cases of vesico-vaginal fistula, treated by operation / by Geo. Hayward ; from the Boston medical and surgical journal. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    Cannot retain urine except when perfectly quiet, and then for a very short time. General health very indifferent. 23d.—Suffered much pain from examination, and has been quite sick since. Vagina very irritable. Oct. 7lh.—Patient reports is subject to sick headaches. Has one to-day. I\o dejection for two or three days. 12th.—Some cough and pain in chest. In evening worse, with bad cough and sharp pain in left side. Blister ordered, but not applied, from unwillingness of patient. 13th.—Better; up and dressed. Some cough, and pain in chest. 15th.—Bowels open, cough better. At 9, A. M., to-morrow (before operation), R. Tr. opii, gtts. lxxv. 16th.— Operation. Patient was placed upon a table as in the opera- tion for lithotomy, except the tying of the hands. An elastic staff was passed through the urethra, and the neck of the bladder being brought down, a transverse fissure half an inch in length was disclosed at an inch and a half behind meatus urinarius. The edges of this were care- fully pared with curved scissors and a narrow-pointed knife, and brought together by two stitches, with two small moveable needles inserted into a long staff. A large female catheter was then passed and secured in situ. Patient having been removed to bed, was directed to lie on right side. Liquid farinaceous diet. 17th.—Slept three or four hours at night. Tolerably comfortable this morning. Took some arrow-root with relish. 18th.—Took, last night, Op. pulv., gr. jss. ; camph., gr. v. M., in two doses, with an hour's interval, and had applied to region of bladder poppy fomentations, with relief of pain. This morning in great pain. Slept some in night. Principal trouble is a great sense of burning in vagina. Some nausea. ] 9th.—Suffers much pain. Took last night opii pulv., gr. ij. ; camph., gr. vj. M., in two doses, and slept but little afterwards ; now, tongue coated. Head, back and hips ache ; complains of constant heat. Pulse 122. 20th.—Better this morning. Still in great pain. Took opiate last night as before, and slept some. Less burning pain. •21st.—Pain and burning continue ; slept but little ; pulse 100. 22d.—Appears much better this morning. Catheter was removed by patient, and returned by surgeon in the evening. Pulse 92. R. Tr. opii, pro re nata. 24th.—Sitting up this morning. Feels quite bright. Went without catheter all day yesterday ; was able to retain urine for an hour or two.